Terms of Service

DESCRIPTION OF SERVICES
I offer clinical therapy*, life coaching, and natal birth chart consultation.

Clinical Therapy, Life Coaching, and Natal Birth Chart Sessions are only available online.

*Clinical therapy is only available for clients residing in the state of Massachusetts. I am in-network with the following insurance providers in Massachusetts: Cigna, Point32Healthcare, Optum (Oxford, Oscar, United Healthcare), Aetna, and Carelon Behavioral Health.

Clients using insurance to cover clinical therapy services will be asked to create a client profile with Headway. Headway is a company that works with health practitioners to get credentialed with insurance providers and process insurance claims. Once it is established that we will be doing clinical therapy work together, you will receive an email from Headway prompting you to create your profile. When the profile set up is complete, clients will receive reminder emails for upcoming sessions and will have access to their health insurance coverage details for therapy in their profile. You will be asked to provide a credit card to keep on file that will be billed following all sessions for your co-pay fee. Clients are encouraged to stay updated on their health insurance coverage, as there can be delays in Headway’s ability to confirm insurance coverage eligibility.

Superbills are available to Out-of-Network clients for reimbursement through their insurance provider.  Clients are responsible for submitting all superbills to their insurance provider and communicating with them to confirm benefit options. 

I do not provide clinical therapy for clients living outside of Massachusetts.

I receive supervision from Nancy Feldman, LMHC, and I am committed to upholding the Code of Ethics outlined by the American Mental Health Counselors Association. Contact information for my supervisor can be provided on request.

THERAPEUTIC LIFE COACHING
Life Coaching services are not covered by health insurance and all payments must be made out of pocket. Services are not appropriate if you are currently experiencing a mental health crisis. In some cases, therapeutic life coaching alone may not be appropriate if you have an established need for ongoing clinical mental health support. If this is the case for you, my services may be explored as an option in conjunction with ongoing clinical mental health treatment. I can work with you in providing referrals for the appropriate care, if needed.

Life Coaching is not intended to replace clinical mental health care, which targets specific clinical diagnoses and behaviors through the use of evidence based clinical interventions, treatment plans, and assessment of treatment outcomes. Life Coaching may not be appropriate if you are struggling with thoughts of self-harm, suicide, and/or are having difficulty navigating activities of daily living. Therapeutic life coaching may provide support through self-discovery, meaning making, natal birth chart exploration, interpersonal connection, psychoeducation, transpersonal discovery, behavior pattern identification, emotional identification and relational/body attunement practices.

NATAL BIRTH CHART CONSULTATION
Natal Birth Chart readings are designed to give clients a tool to help generate new meaning of their lived experience. For those who struggle with a pathological approach to mental health, natal birth charts can be an alternative way to understand our behaviors and responses to the world around us. Natal Birth Chart readings should not replace mental health care and are advised to be utilized in tandem with counseling support. It is my hope that by exploring your Natal Birth Chart, we can work together to begin dismantling the shame that contributes to your distress. If you are new to astrology, a Natal Birth Chart Consultation package is recommended, as it will provide more time to review and understand the layout of the chart. 

LIMITATION OF SERVICES
If a client becomes suicidal, experiences increase in suicidal thoughts and/or self-harming behavior, a conversation around limitation of services will occur. If my services are no longer appropriate for your needs, emergency resources and outside mental health referrals will be provided with a clear end date to our work together.

PRIVACY AND CONFIDENTIALITY
Privacy and confidentiality are important to the relationship between myself and the client. I follow legal and ethical standards to protect the information you share with me. This also covers written records. Any information about our work can only be released to others with your written permission. There are however, exceptions to be aware of:

  • I am required to breach confidentiality without a client’s permission if a client threatens, or is in imminent risk of harming themselves, and may be required to seek hospitalization for the client, or to contact family members or others who can help provide protection.

  • If, in my professional judgment, it is believed that a client is threatening serious harm to another person, it is required by law that protective actions are taken, which may include notifying the potential victims, notifying the police, or seeking the client’s hospitalization.

  • If it is believed that a child (minor), elderly person, or disabled person is being abused or neglected, a report must be made with the appropriate state agency.

  • In a judicial proceeding, I may be required to comply with a court order (if you anticipate any legal matters where this might be the case, please inform me as soon as possible).

  • In order to provide the best ethical work, consultation about clients will occur with a licensed mental health professional. In these consultations every effort is made to avoid revealing the identity of the client. The consultant is also legally bound to maintain confidentiality.

OUTLINE OF SESSION SERVICES & FEES
All session fee types are due prior to the scheduled appointment.

  • Individual Clinical Therapy (Massachusetts Clients Only)

    • $130 | 53-minutes

    • I have limited spaces available for sliding-scale fee starting at $80

  • Individual Therapeutic Life Coaching 

    • $120 | 50-minutes

    • I have limited spaces available for a sliding-scale fee starting at $80

  • Natal Birth Chart Consultation

    • $150 | 50-minutes

    • $180 | 80-minutes 

    • $200 | 110-minutes

  • Natal Birth Chart Consultation Packages

    • $300 | 3 one-hour sessions with Natal Birth Chart Analysis

    • $450 | 5 one-hour sessions with Natal Birth Chart Analysis

AstroTherapy does not have a formal cancellation policy. I strive to cultivate open and safe communication channels with my clients and to mitigate any barriers that may negatively impact our work together. I will continue to ask folks to communicate with me 24-48 hours in advance regarding requests to cancel or reschedule, if possible. If last minute cancelations become a recurring interruption to services or treatment, we will revisit our work together and decide if another therapist, astrologer, or life coach may be a better fit for you and your needs.

If there is any confusion about scheduled sessions, please call or text to clarify at, 330-328-5841. Regular session fees and sliding-scale fees are due prior to the scheduled appointment. All session fees are non-refundable. Please let me know as soon as possible if you need to make other arrangements for payment, including a monthly payment plan. If payment/payment plans are not completed within the agreed upon arrangement, I reserve the right to stop session work at an unpaid balance of $150.

Service fees are subject to change.  Any fee changes will be communicated with clients in advance before the rate change is applied.

All payments must be made via Venmo or PayPal.  Invoices available upon request. 

MENTAL HEALTH AND CRISIS RESOURCES